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Ischemic cardiomyopathy is a type of cardiomyopathy caused by a narrowing of the coronary arteries which supply blood to the heart. [4] Typically, patients with ischemic cardiomyopathy have a history of acute myocardial infarction, [5] however, it may occur in patients with coronary artery disease, but without a past history of acute myocardial infarction.
Certain individuals such as women, diabetics, and the elderly may present with more varied symptoms. [8] If blood flow through the coronary arteries is stopped completely, cardiac muscle cells may die, known as a myocardial infarction, or heart attack. [9] Coronary artery disease (CAD) is the most common cause of coronary ischemia. [7]
Levine's sign is a clenched fist held over the chest to describe ischemic chest pain. [1]It is named for Samuel A. Levine (1891–1966), an influential American cardiologist, who first observed that many patients with chest pain made this same sign to describe their symptoms.
In stable angina, symptoms occur with exercise or emotional stress, last less than a few minutes, and improve with rest. [4] Shortness of breath may also occur and sometimes no symptoms are present. [4] In many cases, the first sign is a heart attack. [5] Other complications include heart failure or an abnormal heartbeat. [5]
Overall, heart failure affects about 2% of adults, [22] and more than 10% of those over the age of 70. [6] Rates are predicted to increase. [22] The risk of death in the first year after diagnosis is about 35%, while the risk of death in the second year is less than 10% in those still alive. [10] The risk of death is comparable to that of some ...
About 30% of people have atypical symptoms. [8] Women more often present without chest pain and instead have neck pain, arm pain or feel tired. [11] Among those over 75 years old, about 5% have had an MI with little or no history of symptoms. [12] An MI may cause heart failure, an irregular heartbeat, cardiogenic shock or cardiac arrest. [3] [4]
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